Co-Op Participation Form

Name(Required)
I confirm that I have been approved by my Cooperative Education Faculty Advisor and officially enrolled in the co-op course.(Required)
Note: The course catalog can be found by clicking on the link. https://catalog.ualr.edu/content.php?catoid=20&navoid=2424
I have read and understood the Cooperative Education Process as well as reviewed the Frequently Asked Questions (Q&A) page.(Required)
If you have not done the above please do so before completing the form. If you do not understand what you read, contact us at [email protected] for clarification and/or more information.
I have scheduled a virtual appointment with the Cooperative Education Coordinator through Handshake.(Required)
If you have not yet scheduled your appointment, please exit this application and do so before proceeding.
I understand that all co-op course assignments must be submitted through Google Classroom, not Blackboard.(Required)
If you have questions about submitting assignments, please refer to the Frequently Asked Questions (FAQ) page.
Semester Enrolled(Required)
E.g. Information Quality (INFQ) 7191 Section 01
Input the name of the instructor who will instruct the Co-Op class.
If you have not declared a minor, type “N/A”.
Have you notified your work supervisor that you want to earn academic credit for your internship or job?(Required)
IMPORTANT: Before submitting your form, you must notify your work supervisor that you want to earn academic credit for your work.
I have contacted my site supervisor and informed them that the Cooperative Education Coordinator will be reaching out to complete performance-related assessments during the course. They are aware and will be watching for future emails.(Required)
If you would prefer to attach your duties, type “See Below” and upload your information.
Drop files here or
Accepted file types: docx, doc, pdf, Max. file size: 24 MB, Max. files: 5.
    Upload Word or pdf documents only.
    If approved, I agree to regularly check my UA Little Rock email for important updates regarding the Co-Op process from my faculty advisor, Co-op Coordinator and others involved in my Co-Op(Required)

    For issues with submitting the form, contact us at [email protected].